January 5th, 2009

The new ratings systems for nursing homes recently instituted by the Centers for Medicare and Medicaid Services is drawing criticism from both the nursing home industry and other medical professional groups.  But while the system does have its problems, say the editors of the Pittsburgh Post-Gazette, it is a giant step in the right direction. 

Write the editors:

The federal government’s new rating system to compare the nation’s nearly 16,000 nursing homes is a welcome resource for those shopping for quality care of the elderly.

For the first time, consumers will have an easy way to check how nursing homes rate on the basis of state inspections, staffing levels and quality-care measures such as the ratio of nursing staff to residents, how many patients developed bedsores and the percentage of residents in restraints. (To access the ratings system, go to www.medicare.gov)

Medicare’s five-star ratings, with five being the best, will be updated at least quarterly. The rankings have already stirred apprehension in the nursing home industry, which complains that the approach is too simplistic for assessing a task as complex as caring for the elderly.

That may be so, but the format is a starting point. Federal officials hope the ratings will prompt “a national conversation about nursing home quality” and push care facilities that rate only one or two stars “on the path to improvement.”

Nursing home groups question the validity of the rankings and say they could hurt some businesses with stellar reputations. But it’s more likely that the ratings will help distinguish bad homes from good, especially in extreme cases. The public can only benefit from that.

Check out the Centre Daily Times for another article about those who are rebuking the new system.